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Two cases of papillary carcinoma of the thyroid associated with psychosis and violence.

Two cases are described in which serious violent acts occurred during the course of a psychotic illness and in which papillary carcinoma of the thyroid was later diagnosed. Several possible explanations are examined, including a suggestion that neuroendocrine changes reportedly associated with violence may have allowed existing thyroid cancers to grow so as to become clinically apparent.

Adult↗

[Subacute encephalitis during lactation (author's transl)].

Two cases of encephalitis during lactation are reported. The illness started with psychotic symptoms and some weeks later neurological disturbances appeared. The course of the illness was subacute and both cases the brain scan was abnormal with numerous nodules. A CSF proteinogram showed an acute phase reaction, pointing to an organic lesion of the nervous system, but no impairment of the blood CSF barrier and normal immunoglobulin G levels. The possible aetiological factors, as well as the CSF and brain scan findings are discussed.

Acute Disease↗

[Female hormones and migraine].

All the hormonal events of the female life may modify the course of the migrainous disease. Their influence is slightly different on migraine with and without aura. Development of migraine at menarche and menstrually-related migraine attacks are principally observed in migraine without aura. Percutaneous estradiol is often effective for the prevention of pure menstrual migraine. Migraine usually improves during pregnancy; a worsening or a first development of attacks may nevertheless occur during this period, especially for migraine with aura. Oral contraception is not contraindicated in most migraine sufferers; it may worsen, improve or leave unchanged their disease. Migraine represents a risk factor of ischaemic stroke in young women; though a low one, some caution is necessary: tobacco should be forbidden, and the use of low-dose estrogen pills is recommended. Oral contraceptives should be interrupted in case of worsening of migraine, especially with aura. Estrogen replacement therapy is allowed after menopause in migraine sufferers; it may sometimes exacerbate migraine, which is in most cases controlled by therapeutic adjustment.

Contraceptives, Oral↗

[Visual memory impairment during postpartum].

Using a visual memory test we studied memory in pregnant women. Benton's Visual Retention Test was used with 54 pregnant women three times: at term, 3-4 days post-partum, and one month after birth. There was a significant decline in visual memory at 3-4 days post-partum (p < 0.01). There was no interaction between hours of sleep and memory of pregnant women at any period. Although memory declined at 3-4 days, there was no interaction between this decline and duration of labor, intra-partum hemorrhage, or memory at one month post-partum. It is not yet clear why visual memory declined shortly after birth. Further studies on post-partum memory decline as well as the possible relationship to hormonal and mood changes are necessary.

Adult↗

Psychiatric disturbance with acute onset and offset in a Darwin evacuee.

A case of transient situational disturbance in a Darwin evacuee is presented in order to place on record the nature of and the circumstances associated with a "breakdown" following the patient's evacuation form Darwin as a result of cyclone Tracy. The apparently gross behavioural disturbance was rapidly resolved after the involvement of a number of people willing, and apparently able, to provide help, without resort to hospitalization or medication.

Acute Disease↗